Optimum HealthCare Medicare Advantage Plans help cover most of your health needs, often with $0 additional premium costs per month. We offer plans to help with the additional costs of Vision, Dental and more that original Medicare does not cover.
$0 Cost OTC Benefits
✓ Receive a monthly over-the-counter allowance from $20 to $125 each month, based on plan selection. Place your order online or over the phone!
✓ Shipped to your home at no extra cost.
$0 Cost Fitness Membership
✓ Get a SilverSneakers® Fitness Membership at no cost to you! Search facilities and available amenities by zip code at www.silversneakers.com
✓ You can also order a SilverSneakers® Steps home fitness kit if that is more convenient!
✓ Active Fitness: For certain plans, the plan covers a spending allowance of $500 per year towards the payment of facility access fees for golf, tennis, or swimming. Any unused amounts do not carry forward to the next calendar year.
✓ Please call the plan to see if you are eligible to receive your prepaid card.
PART B PREMIUM REFUND
✓ Select 2024 plans offer a Part B Premium refund or “buydown” between $50 and $164.90 a month, that will be added to your Social Security check.
$0 Cost Preventive Services
✓ Stay healthier with an array of Preventive Services at NO COST to YOU! Receive an Annual Wellness Visit, screenings, vaccines and many other services to keep you on track.
Everyday Options Allowance
✓ Everyday Options Allowance benefit of $85 to $175 each month based on select 2024 Chronic Special Needs Plans and Dual Special Needs Plans.
✓ The Everyday Options Allowance may be used on food items, home and pet care supplies at approved grocery stores, and utilities!
✓ Please call the Plan to see if you are eligible to receive your Everyday Options Allowance card.
PERSONAL EMERGENCY RESPONSE SYSTEM (PERS)
✓ PERS is a monitoring device that can provide you with confidence, knowing you have quick access to the help you need 24 hours a day, in any situation.
✓ Lightweight, discreet button, worn as a pendant, and is safe to wear in the shower or bath.
✓ PERS is offered on select 2024 plans to help keep you safe!
✓ Offering 30 hours a year through our in-home support vendor, Papa!
✓ Offers companionship, technology assistance, virtual services, and more!
✓ In-home support is only offered on select 2024 plans.
Becoming an Optimum HealthCare Member ensures that your out-of-pocket costs are never more than you expect.
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Providers & Pharmacies
Our online tools help you find what you need no matter where you are in Florida, or even if you are traveling. If you need more help, don't hesitate to phone us.
Find A Covered Drug
Use the online drug finder tool to determine if your current prescriptions will be covered by our plans.
Service Area Highlights
Plan availability varies. Use the Plan locator to determine which plans are available to you.
Important member notice about a vendor security incident. Learn more.
Optimum HealthCare, Inc. is an HMO with a Medicare contract and a contract with the state of Florida Medicaid program. Enrollment in Optimum HealthCare, Inc. depends on contract renewal. This Information is not a complete description of benefits. Call 1-866-245-5360 (TTY: 711) for more information. Medicare beneficiaries may also enroll in Optimum HealthCare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system.
Optimum Healthcare, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Chronic Condition Special Needs Plan (C-SNP) through 2024 and a Dual Special Needs Plan (D-SNP) until 2024 based on a review Optimum Healthcare, Inc.’s Model of Care.
Optimum HealthCare, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Optimum HealthCare, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Optimum HealthCare, Inc. konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-245-5360 (TTY: 711). Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-866-245-5360 (TTY: 711).
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